Operative surgery . complete the internal muco-mucoussuture, followed by completion of the external sero-serous suture. The con-tinuous is employed for the internal suture. Either the Lembert or theGushing variety may be applied externally. When great haste is essential asingle row introduced deep enough to pierce the submucous fibrous coatwill suffice. Ihe Bone Bobbin of Allmgham (Fig. 824).—The center of this bobbin,and for a quarter of an inch at either side of it, is decalcified, and there-fore is not influenced by suture pressure. The remaining portions are notdecalcified. The shape of th
Operative surgery . complete the internal muco-mucoussuture, followed by completion of the external sero-serous suture. The con-tinuous is employed for the internal suture. Either the Lembert or theGushing variety may be applied externally. When great haste is essential asingle row introduced deep enough to pierce the submucous fibrous coatwill suffice. Ihe Bone Bobbin of Allmgham (Fig. 824).—The center of this bobbin,and for a quarter of an inch at either side of it, is decalcified, and there-fore is not influenced by suture pressure. The remaining portions are notdecalcified. The shape of this bobbin tends to approximate the dividedborders when closed around it, also opposes their slipping away. To applyit, carry a purse-string suture around each end of the intestine (^, b); insertone end of the bobbin into the extremity of a segment of intestine; drawthe suture tightly around the bobbin, tying with a single knot at first; intro-duce the remaining end of the bobbin into the extremity of the remaining. Fig. 824.—The bone bobbin of Allinghani. u. Bone bobbin disconnected and in place. segment and tie as before; push the ends firmly together at the center ofthe bobbin and tie an additional knot in each ; supplement the line of unionwith continuous or interrupted sutures if needed {c). This method of prac- 636 OPERATIVE SURGERY. tice seems insecure without the supplementary stitches. Little can be saidas yet of the outcome of its practical application. The Bone Bobbin of Hayes (Fig. 825).—The ingenuity of this bobbinentitles it at once to respectful consideration. The central part is not decal-
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Keywords: ., bo, bookcentury1800, bookdecade1890, bookidoperativesurgery02brya
